Viscotin 600 mg

Description

Indications
Viscotin is indicated as an adjuvant treatment in clinical conditions characterized by thick and viscous mucoid or mucopurulent secretions, including:

• Chronic bronchopulmonary diseases (COPD, emphysema with bronchitis, chronic asthmatic bronchitis, bronchiectasis)
• Acute bronchopulmonary diseases (asthma with bronchial mucus plugging, bronchitis, bronchopneumonia, tracheobronchitis, bronchiolitis, pulmonary complications of cystic fibrosis, post-surgical pulmonary complications)
  রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন

Pharmacology
Acetylcysteine is a mucolytic agent that reduces the viscosity of secretions by splitting disulphide bonds in mucoproteins, with an antisecretory effect. This helps clear respiratory ducts and facilitate breathing. It also has anti-oxidant properties by neutralizing free radicals and serving as a precursor to glutathione, an important antioxidant, reducing inflammation in the respiratory system.

Dosage & Administration

• Effervescent Tablets / Dispersible Tablets:
  Adults and children > 6 years: One 600 mg effervescent tablet per day (preferably in the evening).
  Acute treatment: 5-10 days. Chronic treatment: Can continue for several months.
  Dissolve in water to form a palatable solution.

• Effervescent Granules:
  Adults and children > 6 years: 1 sachet (200 mg) or 2 sachets (100 mg), 2-3 times daily.
  Children (2-6 years): 1 sachet (100 mg), 2-4 times daily.

• Nebulizer Solution:
  Adults: 5-10 ml of 10% or 20% solution every 6-8 hours PRN.
  Children (1-11 months): 1-2 ml of 20% or 2-4 ml of 10% solution every 6-8 hours PRN.
  Children (12 months-11 years): 3-5 ml of 20% or 6-10 ml of 10% solution every 6-8 hours PRN.
  Below 12 years: 5-10 ml of 10/20% solution every 6-8 hours PRN.

  Dissolve sachet contents in water. Nebulize for inhalation or direct instillation into tracheostomy as required.

Interaction
Viscotin can reduce the efficacy of antibiotics like ampicillin, tetracycline, macrolides, cephalosporins, aminoglycosides, and amphotericin. It is recommended to space the administration of Viscotin and amoxicillin by 2 hours. Viscotin may enhance the effects of nitroglycerine.

Contraindications
Contraindicated in patients with hypersensitivity to acetylcysteine and in those with phenylketonuria due to the presence of aspartame.

Side Effects
Possible side effects include headache, increased heart rate, stomatitis, pruritus, urticaria, nausea, vomiting, abdominal pain, fever, low blood pressure, diarrhea, and ear noises. Severe reactions (e.g., anaphylactic shock) are rare.

Pregnancy & Lactation
Consult a physician before use during pregnancy and lactation.

Precautions & Warnings

• Use with caution in patients with bronchial asthma or a history of peptic ulcers.
• Sodium content (156.9 mg per dose) should be considered for patients on a controlled sodium diet.
• Avoid mixing with other drugs in the solution.
• A characteristic sulfur odor does not indicate product alteration.

Overdose Effects
Overdose may cause nausea, vomiting, or diarrhea. Treatment is symptomatic.

Therapeutic Class
Antidote preparations, Cough expectorants, & Mucolytics.

Storage Conditions
Store in a cool, dry place, protected from light.